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EU balancing competition with innovation in pharma sector

Published 02 December 2009
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The top official at the EU's competition office has told the European Parliament that some medicine makers effectively represent an obstacle to making savings in the health sector. However, he acknowledged that research-based pharma companies must be incentivised to produce new medicines.

Philip Lowe, director-general at the EU executive's competition wing, said Brussels wants to ensure access to safe and effective innovative medicines and stressed the need to reform Europe's patent system. 

"The European Commission has recognised the importance of these challenges by bringing together the services of DG Enterprise and DG Sanco," he said, referring to the decision to take responsibility for medicines policy from the industry commissioner and hand it to the health commissioner. 

Lowe told MEPs that the Commission's inquiry into the pharmaceutical sector revealed practices that delayed the market entry of cheaper generic medicines. He said every patient in the EU spends an average of €430 per year on medicines, and the total spending on drugs is approximately 2% of Europe's GDP. 

"It's no secret that public health schemes are currently under pressure to save money. It's obviously not easy to save on breakthrough drugs so most governments are now looking to make savings through generics," he said. 

He said the inquiry had shown that generics enter the market 25% cheaper than the previous price of the originator medicines, and this price is 40% lower within two years, representing significant savings.

Companies holding up launch of generic drugs 

Generic drugs can be launched once the patent runs out on an original medicine, but Lowe said there was concern that patent-holding firms are deliberately holding up the availability of generics. 

"We went on to look at whether more savings can be achieved and we found there are significant delays to market entry for generic products," he said. 

A range of "tools" are used by research-based medicine companies to slow the arrival of generics, he said, including the filing of multiple patents on the same products and the initiation of lengthy litigation proceedings. 

These tools may be used in pursuit of legitimate objectives, but can lead to "unfortunate trends". "Some blockbuster medicines are protected by up to 1,300 patents or pending patent applications across the member states. One of their aims is to delay or block market entry of generics," Lowe told MEPs. 

Patent system in need of reform 

He also acknowledged that Europe's fragmented intellectual property landscape can lead to lengthy delays, with patent litigation cases lasting an average of 2.8 years and producing inconsistent results across the EU. 

"The current system is also relatively expensive to everyone, although very profitable to the legal professions," he said. Courts in EU member states give conflicting verdicts in around 11% of cases, according to the competition official, who called on patent offices to avoid granting "weak patents". 

Lowe said the EU will continue to monitor settlement agreements between pharmaceutical companies and will clamp down on instances where firms reach agreements that ultimately limit market entry of generic drugs. 

However, he noted that drug pricing was a matter for member states and stressed that Brussels was "not trying to solve all the problems of the healthcare sector" through its powerful competition machinery. 

"As far as protecting the activities of those who are innovating, I think I'm clear that whatever we do in the competition law field should not only protect that but promote that. Competition can only exist when innovators are rewarded," he said. 

If there had been a slowdown in the pipeline of the pharmaceutical sector, it was certainly not a result of the EU's inquiry into the medicines sector, he added. 

Positions: 

Dagmar Roth-Behrendt MEP, a German social democrat, criticised the EU executive's report on its pharma sector probe, because it failed to make a distinction between firms that develop innovation medicines and those that manufacture generics. 

"That's why I don't think it's a good report. The report does not mention the role of the research industry. I don't underestimate the significance of generics but I wouldn't like to throw out the baby with the bathwater," she said. 

Roth-Behrendt also said moving medicines policy to the EU executive's health directorate will not make any meaningful difference. She said the change gives the "false impression" that Brussels controls community health policy. Europe has a community industry policy, she said, but health remains a matter for national parliaments. 

Swedish Green MEP Carl Schlyter said savings could be made if the rules on patent protection were upheld. He was critical of companies that seek to extend the value of their patent by using delay tactics. 

"A 20 year patent should last 20 years – not 20 years plus another 18 months due to the tactics used by companies to get a technical advantage," he said. 

He said patent offices were sometimes too willing to grant patents in cases where there has been little or no genuinely new innovation. 

Schlyter questioned whether new drugs are being developed for antibiotics, rare diseases and non-chronic illnesses, and suggested that a prize fund to boost research could help encourage R&D in less commercially attractive areas of health research. 

Hungarian centre-right MEP János Áder criticised the medicines industry for handing out "misleading, incorrect information" to patients and he asked whether the Commission would be willing to sanction such behaviour. 

German Liberal MEP Jorgo Chatzimarkakis said all 27 EU member states have different markets for medicines, and price controls can impact the availability of innovative drugs. He suggested the Commission should do more to encourage transparency at member-state level. 

Background: 

Sector inquiries are investigations that the European Commission may decide to carry out in economic sectors that do not seem to be working as well as they should or whenever there are indications of anti-competitive practices. 

The European Union has spent more than a year investigating competition issues in the pharmaceutical sector. The investigation was launched in January 2008 in response to concerns that fewer new medicines were being brought to market, amid allegations that generic drugs were being delayed from reaching consumers. 

Tensions had been high between the industry and the EU executive following a dramatic series of unannounced raids on the offices of top pharmaceutical companies in January and November 2008 (EurActiv 17/1/08EurActiv 26/11/08). 

A damning preliminary report was published in November 2008, which alleged that anti-competitive practices in the sector are hampering innovation and blocking the entry of cheap generics onto the European market (EurActiv 28/11/08). According to the November report, big pharma firms were applying for multiple patents for the same medicine and seeking to prevent competitors from developing new drugs. 

However, there was relief in industry circles when the Commission published its final report in July, which took a somewhat soft tone (EurActiv 09/07/09). 

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